Provider Demographics
NPI:1366401200
Name:CHALMERS BARTLETT, BARBARA ELLEN (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ELLEN
Last Name:CHALMERS BARTLETT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 LOCUST ST
Mailing Address - Street 2:SUITE 718
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6838
Mailing Address - Country:US
Mailing Address - Phone:563-599-2181
Mailing Address - Fax:563-584-2321
Practice Address - Street 1:700 LOCUST ST
Practice Address - Street 2:SUITE 718
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6838
Practice Address - Country:US
Practice Address - Phone:563-599-2181
Practice Address - Fax:563-584-2321
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00860103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical